Feasibility Evaluation of a Smartphone-delivered Peer-led Physical Activity Counselling Program for Improving Physical Activity in Manual Wheelchair Users
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Objective physical activity
研究概览
简要总结
Despite physical activity (PA) being a valuable modality for promoting health, the evidence for effective PA intervention strategies for manual wheelchair (MWC) users is underdeveloped. Community-based programs and telephone-counselling interventions to increase PA among MWC users have had some success, but the uptake and adherence to these interventions remains low within this population. Community-based programs may not reach MWC users who live in rural areas and have issues with transportation, while health professionals may not optimally relate with MWC when providing telephone counselling. Although the PA needs of MWCs are not fully understood, there is reason to believe that including peers into intervention delivery may have benefits.
A feasibility trial is critical and prudent prior to moving forwards with a large and expensive multi-site randomized controlled trial (RCT) to ensure that: the intervention meets the needs of the target population; the right outcomes are measured; and that the intervention is feasible to administer.
The objective of this study is to evaluate the feasibility of a Smartphone-delivered Peer-led Physical Activity Counselling (SPPAC) program for MWC users.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •live in the community
- •have used a manual wheelchair for ≥ 1 year
- •able to self-propel a manual wheelchair for at least 10m
- •able to communicate in English or French
- •have physical activity or mobility goals
- •cognitively able to set goals (Mini-mental State Exam Score ≥ 25)
排除标准
- •anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity)
- •have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic Lateral Sclerosis
- •are concurrently or planning to receive manual wheelchair mobility training over the period of the study
研究组 & 干预措施
SPPAC intervention
Smartphone-delivered peer-led physical activity counselling
干预措施: SPPAC intervention (Behavioral)
Control group
Pragmatic no-contact control group
结局指标
主要结局
Objective physical activity
时间窗: Change in physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Physical activity will be measured objectively using Actigraphy, a small, lightweight accelerometry-based tri-axial activity monitor (Actigraph 3GTX) that is worn on the wrist and MWC without impeding bodily movements or PA. Information about motion direction and speed are integrated to produce an electrical current with variable magnitude and duration. The electrical current data are stored in the monitor as 'activity counts.'
次要结局
- Subjective physical activity (Leisure-Time Physical Activity Questionnaire (LTPA))(Change in LTPA from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Measure the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities (Reintegration to Normal Living Index - RNLI)(Change in RNLI from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Satisfaction of psychological needs (Psychological Need Satisfaction in Exercise Scale (PNSES))(Change in PNSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Measure of self-efficacy in performing functional activities of daily living in individuals with Spinal Cord Injury (Moorong Self Efficacy Scale - MSES)(Change in MSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Physical activity motivation (Behavioural Regulation in Exercise Questionnaire (BREQ-2))(Change in BREQ-2 from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Self-efficacy to overcome barriers to leisure-time physical activity (Leisure-time Physical Activity Barrier Self-efficacy Scale)(Change in Self-efficacy to overcome barriers to leisure-time physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Perceived autonomy support (Health Care Climate Questionnaire (HCCQ))(Change in HCCQ from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Wheelchair skills capacity and performance (Wheelchair Skills Test- Questionnaire (WST-Q))(Change in WST from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Wheelchair use self-efficacy (Wheelchair Use Confidence Scale Short Form (WheelCon-SF))(Change in WheelCon-SF from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
- Satisfaction with participation in physical activity using a wheelchair (Wheelchair Outcome Measure (WhOM))(Change in WhOM from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention)
研究者
Krista Best
Assistant Professor/ Researcher
Laval University